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Contact Information

LAURIE CHALKIN
3717 CASTRO VALLEY BLVD
CASTRO VALLEY, CA94546-4405
 Phone: 510-538-3937
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for LAURIE CHALKIN

NPI Number 1679641203
LBN Legal business name LAURIE CHALKIN
Authorized official LAURIE CHAIKIN - (OPTOMETRIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 07/22/2008 - About 18 years ago
Identifiers
CA License # 10195
CA License # 7597
CA Medicaid SD0101950
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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